| NPI | 1679993448 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CT 065047) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MI 5101024133) |
| Enumeration Date | 2014-04-21 |
| Last Update Date | 2021-10-31 |